Miss Sophie Close

As a registered Paramedic (PA052617):

1. On a date between September 2021 to March 2022, did not provide adequate treatment to a patient in that you:

a. did not check the patient's C-Spine

b. did not provide adequate care for a patient's pain

c. did not ask the patient and / or did not check the patient's notes to find out what medication they were on

2. On 3 May 2022, did not complete a safeguarding referral after seeing Patient A

3. On 31 August 2022, did not adequately complete a safeguarding referral in relation to a patient in that you did not include:

a. the name of the care supplier

b. the name of the patient's daughter

4. On 5 September 2022, in relation to Patient B:

a. did not provide adequate treatment to Patient B in that you:

i. left Patient B at home when they should have been taken to hospital and/or

ii. did not safeguard Patient B by referring them to their GP and/or

iii. did not make a safeguarding referral

b. did not maintain accurate and complete records for Patient B in that you did not record the following:

i. the time the patient was discharged

ii. a two stage capacity assessment

iii. Patient B's recent medical history including:

5. Patient B's recent brain bleed

6. Patient B's recent cardiac arrest due by hypoglycaemia

7. that Patient B had dialysis three times a week

5. In or around September 2022,

a. did not provide adequate treatment to a patient in that you:

i. did not provide an accurate and/or complete handover

ii. did not do an airway assessment and/or a chest auscultation

iii. applied a blood pressure cuff before assessing the patient's breathing

iv. did not obtain intravenous access

v. did not do cardiac monitoring

vi. did not accurately assess the patient's Glasgow Coma Scale

b. did not provide adequate treatment to a patient in that you:

i. stated that the patient had a panic attack when there were clinical indications that the patient was suffering from heart failure

ii. placed the patient on a salbutamol nebuliser when this was not clinically appropriate

iii. did not perform an ECG

6. On 9 November 2022, did not provide adequate treatment to a patient who had a head injury in that you:

a. did not carry out a full assessment of the patient

b. did not complete the minor injuries form

8. On 17 November 2022,

a. did not provide adequate treatment to a patient in that you:

i. did not do a full abdominal assessment

ii. required prompting to undertake an ECG

iii. required prompting to administer pain relief

b. did not provide adequate treatment to a patient with mental health concerns, in that you:

i. did not interact with the patient

ii. did not assist Colleague A in managing the patient

9. Between August 2021 and November 2022, did not complete your NQP portfolio adequately or at all.

10. The matters set out in particulars 1 to 8 above constitute lack of competence.

11. By reason of the matters set out above, your fitness to practise is impaired by reason of lack of competence.